title: [Bilateral sensorineural hearing impairment due to Streptococcus suis meningitis 20 days after swine bite].
abstract: Streptococcus suis (S. suis) is a zoonotic pathogen in pigs, which can be transmitted to humans by close contact. Meningitis is the most common clinical manifestations of S. suis infection and hearing impairment is a frequent complication. The risk of S. suis meningitis is higher in people who work in the swine industry. The patient was a 53-year-old woman working in the swine industry, who developed headache and fever 20 days after a swine bite. She was diagnosed as meningitis and S. suis was detected in the cerebrospinal fluid. We treated her with ceftriaxone, vancomycin, and dexamethasone, and signs of meningeal irritation diminished three days after admission. However, bilateral sensorineural hearing impairment occurred on the ninth day after admission. We added methylprednisolone (500 mg, 2 days) but moderate hearing impairment remained on the left. Antibiotic therapy should be considered for wounds of people involved in the swine industry for preventing S. suis infection.When S. suis meningitis occurs, symptoms of hearing impairment must be monitored carefully.
authors.affiliation: Division of Neurology, Respirology, Endocrinology and Metabolism, Department of Internal Medicine, Faculty of Medicine, University of Miyazaki.
authors.forename: Kousuke
authors.initials: K
authors.lastname: Mori
authors.forename: Nobuyuki
authors.initials: N
authors.lastname: Ishii
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Mochizuki
authors.forename: Akitoshi
authors.initials: A
authors.lastname: Taniguchi
authors.forename: Kazutaka
authors.initials: K
authors.lastname: Shiomi
authors.forename: Masamitsu
authors.initials: M
authors.lastname: Nakazato
mesh_terms: D000818:Animals; D001733:Bites and Stings / Q000150:complications*; D006319:Hearing Loss, Sensorineural / Q000209:etiology*; D006801:Humans; D016920:Meningitis, Bacterial / Q000150:complications*; D008875:Middle Aged; D013290:Streptococcal Infections / Q000150:complications*; D017011:Streptococcus suis; D013552:Swine